Sec. 1301.163. APPLICABILITY OF SUBCHAPTER TO ENTITIES CONTRACTING WITH INSURER. This subchapter applies to a person to whom an insurer contracts to:
(1) process or pay claims;
(2) obtain the services of physicians or other providers to provide health care services to enrollees; or
(3) issue verifications or preauthorizations.
Added by Acts 2007, 80th Leg., R.S., Ch. 997 (S.B. 1731), Sec. 15, eff. September 1, 2007.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Chapter 1301 - Preferred Provider Benefit Plans
Subchapter D. Relations Between Insureds and Preferred Providers
Section 1301.151. Insured's Right to Treatment
Section 1301.152. Continuing Care in General
Section 1301.153. Continuity of Care
Section 1301.154. Obligation for Continuity of Care of Insurer
Section 1301.155. Emergency Care
Section 1301.156. Payment of Claims to Insured
Section 1301.157. Plain Language Requirements
Section 1301.158. Information Concerning Preferred Provider Benefit Plans
Section 1301.1581. Information Concerning Exclusive Provider Benefit Plans
Section 1301.159. Annual List of Preferred Providers
Section 1301.1591. Preferred Provider Information on Internet
Section 1301.160. Notification of Termination of Participation of Preferred Provider
Section 1301.161. Retaliation Against Insured Prohibited
Section 1301.162. Identification Card
Section 1301.163. Applicability of Subchapter to Entities Contracting With Insurer
Section 1301.164. Out-of-Network Facility-Based Providers
Section 1301.165. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider